Prevalence of symptomatic and asymptomatic gallstones in laparoscopic sleeve gastrectomy
عنوان مقاله: Prevalence of symptomatic and asymptomatic gallstones in laparoscopic sleeve gastrectomy
شناسه ملی مقاله: JR_NHJ-8-1_005
منتشر شده در در سال 1402
شناسه ملی مقاله: JR_NHJ-8-1_005
منتشر شده در در سال 1402
مشخصات نویسندگان مقاله:
Ali Zahedian - Department of surgery, School of Medicine, Babol University of Medical Sciences, Babol, Iran
Soraya Khafri - ۲Department of Epidemiology and Biostatistics, School of Public Health, Babol University of Medical Sciences, Babol, Iran
Nasrin Tamaskani - ۳Student Committee Research, Babol University of Medical Sciences, Babol, Iran
abolhasan alijanpoor - Department of surgery, School of Medicine, Babol University of Medical Sciences, Babol, Iran
خلاصه مقاله:
Ali Zahedian - Department of surgery, School of Medicine, Babol University of Medical Sciences, Babol, Iran
Soraya Khafri - ۲Department of Epidemiology and Biostatistics, School of Public Health, Babol University of Medical Sciences, Babol, Iran
Nasrin Tamaskani - ۳Student Committee Research, Babol University of Medical Sciences, Babol, Iran
abolhasan alijanpoor - Department of surgery, School of Medicine, Babol University of Medical Sciences, Babol, Iran
Abstract
Background: Nowadays obesity is one of the major health problems worldwide,
leading many obese patients to undergo surgical intervention. Laparoscopic sleeve
gastrectomy (LSG) is a common approach for surgical management of morbid obesity.
Gallbladder stones are a common side effect of sudden weight loss after bariatric
surgery. The aim of this study was to investigate the relationship between weight loss
and gallstones and the need for prophylactic cholecystectomy.
Methods: This cross-sectional study was conducted on all patients who had undergone
gastric sleeve surgery in Babol University of Medical Sciences hospitals during ۲۰۱۳-
۲۰۱۷. Demographic data such as gender, age, weight, and BMI were collected with
informed consent via a questionnaire. Patients were followed up over an ۱۸-month
period by ultrasound and by a visit from the surgeon. The incidence of gallstones and
gallbladder sludge and the need for cholecystectomy were studied.
Results: In this study, ۱۱۴ patients including ۹۴ females and ۲۰ males with a mean age
of ۳۷.۴±۸.۲۹ years and mean weight of ۱۴۲.۲۳±۱۰.۲۹ kg underwent LSG. The
incidence of asymptomatic and symptomatic gallstones was ۲۳% (۲۶/۱۱۴) and ۷%
(۸/۱۱۴), respectively. An apparent relationship was observed between weight loss and
the incidence of gallstones during the follow-up periods, except for the first month.
Moreover, ursodeoxycholic acid administration reduced significantly the incidence of
gallbladder sludge and stones (p<۰.۰۰۱).
Conclusion: The results suggest that the formation of gallstones during the period of
weight loss is related to the amount or rate of weight loss in the postoperative period.
کلمات کلیدی: Sleeve gastrectomy, Obesity, Gallstone, Gallbladder sludge
صفحه اختصاصی مقاله و دریافت فایل کامل: https://civilica.com/doc/2055414/